Provider Demographics
NPI:1902286115
Name:ALL AGES HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:ALL AGES HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:TERRY
Authorized Official - Last Name:MAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-810-1646
Mailing Address - Street 1:1081 3RD AVE SW
Mailing Address - Street 2:STE #5
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-7595
Mailing Address - Country:US
Mailing Address - Phone:317-810-1646
Mailing Address - Fax:317-810-1649
Practice Address - Street 1:1081 3RD AVE SW
Practice Address - Street 2:STE #5
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-7595
Practice Address - Country:US
Practice Address - Phone:317-810-1646
Practice Address - Fax:317-810-1649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-02
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN013568251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health